Pet Owner Worksheet for Preparing Visit with 

Accredited Veterinarian to Complete Health Certificate

Please note that preparing for travel to some countries can take several months.

1. List the destination country you are traveling to with your pet.

____________________________________________________________________________

2. Who is accompanying your pet while traveling?

a. The owner

b. A person authorized by the owner

c. No one

d. A pet transport company is transporting the pet

3. List the address(s) and phone number(s) in the destination country where your pet will stay 

during the visit.

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

4. How is your pet leaving the United States?

a. Air – Direct Flight 

b. Air – Layovers in another country. List the country or countries your pet will land in 

before the destination country is reached: 

______________________________________________________________________

c. Car

d. Train

e. Boat – Direct

f. Boat – Cruise ship – List all countries the cruise is stopping at: 

_______________________________________________________________________

Complete this worksheet BEFORE meeting with the USDA 

Accredited Veterinarian who needs this information to complete 

your international health certificate.
5. What date is your pet leaving the United States and from where (last air or seaport in the U.S.)? 

______________________________________________________________________________

6. Provide the date that you and your pet arrive in the destination country?

a. You: __________________

b. Your pet: _______________

7. How many pets are traveling? ______________________________

8. How old will the pet be at the date of travel? _______________________________

9. What type of pet will be traveling? 

a. Dog

b. Cat

c. Ferret

d. Bird (other than: chickens, doves, ducks, geese, grouse, guinea fowl, partridges, pea 

fowl, pheasants, pigeons, quail, swans, and turkeys)

e. Rodent

f. Hedgehog/tenrec

g. Rabbit

h. Reptile

i. Amphibian

10. Does your pet have a microchip?

a. Yes, implanted on: _______________________________

b. Yes, but I don’t know when it was implanted. 

c. I have more than one pet but not all of them have microchips.

d. No.

e. I don’t know.

11. When was your pet’s last rabies vaccination?

a. The veterinarian issuing my international health certificate administered my pet’s last 

rabies vaccination. Date: ______________

b. A veterinarian other than the veterinarian issuing my international health certificate 

administered my pet’s last rabies vaccination. I will need to bring the last valid rabies 

certificate to my appointment. Date: ______________

c. I don’t know.

d. My pet isn’t vaccinated for rabies.

12. Does your destination country require an import permit?

a. Yes.

b. No.

c. I don’t know.

13. Did your airline or cruise ship give you any additional travel requirements for your pet?

a. Yes, I will give this to the veterinarian issuing my international health certificate.

b. No.